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Home My WebLink About1141 PHINNEY'S LANE - Health wl II 41 h�nnqs i,aK, +►nl�, - a13--c��- :1 . j , j E :l ?l I F i 4 I 1j j I I 6 . . . .: .. r a . . .. . _ _ , W !I 11 . % s % �, y. .. .. yy !S TOWN OF BARNSTABLE LOCATION j I�J�yS hGEt,�-f SEWAGE # kc? �I 273- 0 VILLAGEASSSESSOR'S MAP Cz LOT INSTALLER'S NAME PHONE NO. sa - SEPTIC TANK CAPACITY tfr ,.S-1 y-C Ci 5 5 ,D Dza- LEACHING FACILITY:(type) Kie t V\- Gt— Q_I7 - (size) f� NO. OF BEDROOMS PRIVATE WEL R PUBLIC ATE BUILDER OR OWNER iaV {,,� ttG.�4 4w DATE PERMIT ISSUED: f oL) 27 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No t0 6- o>, Z Firm THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF 'HEALTH " �T® L+�..w: OF.... :)As 1� .6�(.�.......................... Appliration for Disposal- arks onstrurtiun Frrind Application is hereby made for a Permit to Construct ( ) or Repair (ky--aanIndividual: Sewage Disposal, • System at ..... ...1.1: _-�- -- � = -: ,:...:. , _.......... ....t . : . _ ----•-................... -------- - Location-Address 4 - or Lot No. ........... .yet�cz.. ::.-----. s U. - ........ ......... . . _ - ......_.....---................................_:.....__ Address ,Wa ......... �e�.f pf.,.�rr.:. 1. r�.tc!:� x ��...:..:. -..:. ---------+=• !-Jf�.sc-+/! -•-.5.................................... Installer Address Type of Building Size Lot_ q.• � ---_-.._ __._....S feet aDwelling—No. of Bedrooms.. .............Expansion Attic.( ) w Garbage Grinder ( ) p, Other—Type of°Building ..... ......... ..... No. of persons.......... .......:...... Showers ( ' ) Cafeteria { ). a' Other fixtur WW Design Flow............15. ......:......gallons per person per day. Total daily flow....... ....: .._._..__..gallons. W , Septic Tank—,Liquid capacity ....gallons Length .............. Width................ Diameter... ._:_._. Depth..._............ x Disposal Trench No............... Width .................. Total Length.....__...�....._ Total leaching area sq. ft. �. Seepage Pit No..........l........... Diameter.... �_:_... Depth below inlet___V.......:.... Total leaching area s......_.... .sq. ft. __ Z Other Distribution box ( ) Dosing tank'( ) ''" Percolation Test Results Performed.by............................................................................. Date......................................... as Test Pit No. L_: .........:minutes per inch Depth of Test Pit..................... Depth to ground water........................ Test Pit No: 2...............:.minutes per inch. Depth of Test Pit................. Depth to ground water........................ R+' ......................................................................... .....................................................................---- O Description of Soil............................................................................ .: ---•-••••----- ` --• ---------•- .... 0 ................ .................. U -----•---•-•---------•-- ------•-------------- ----- ---- ---- -- --- ------•- t�l -•--••................... .......-••---•---_: .....-••--•......•... ....... --- •-- UNature of Repairs or Alterations-Answer when applicable_____... _�Q. ...._:_.Q.le _.._:_.(a_X�........................... ..........._ Oti`^ :.......Q _. 19.2...�... .... G�e:S. �?6-b -•.............. ......... Agreement The undersigned agrees to install.,the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI ITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the oard�ofll.ie.althh.Signed.. = •.. ` !n at Application Approved By.,....... ----- --------------------............ . ........x_f.:.._ Date. I. Application Disapproved for the f olloiving reasons:............I_______________________________________________________________•_..I..........................___ ................................................................................................................-•-•--...................._.............._...........................---..............._. ` Date PermitNo..... ................----- Issued........................................------....._ Date NO. .7.(� 7 3 Fitz'...... .2 _ THE COMMONWEALTH OF MASSACHUSETTS 1�1 BOARD OF HEALTH .......OF.... s��.. :. i/C. ) :- �� .............................. Appliration for Disposal Works Tons rur#inn .1rruti# Application is hereby made for a Permit to Construct ( ) or Repair (�,-F)�an Individual Sewage Disposal System at: •............. ....... i............ ................. ................ `/ !'1;i t,�;,` �- --------.._..-------._......_----- Location-Address ° or Lot No. VN W ........_..�_ . w, d-.. J /............................... .•----...._.........._,..(• ......---•--__.Ad dress -- ....................._... _•--. Owner—' -- ........ Installer I Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.....-a..............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building .............. No. of persons...'_.:_..._...._...._..... Showers — Cafeteria a' Other fixtures ..---••----•-•---•-•................................._. .,._ WdW Design Flow......_..__= ...........................gallons per person per day. Total daily flow.......=.. '-......_._..........gallons. W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width � -•...:tTotal,Length...._......._...... Total leaching area...................sq. ft. 3 Seepage Pit No..........I......... Diameter.... .__�l,_ ._. Depth below inlet...i�'............. Total leaching area_.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY........................•---....-•-•-=--...----•---•-----•----•------•_:_. Date........................................ Test Pit No. l................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ ----------------------------------------------------- ••------•- ----------- ------- -•------------------------------ •-...... •------ •--------- 0 Description of Soil....................................................._...-----•-------•---•-----------------•-------........_....-----..__...--------------..._•--••-----------------.. W -----------------------------•-•---•---------------•--------..........--•--••---•-•--•-----------•---------------------------------------------•--..........._._......_..................._.._......... x Nature of Repairs or Alterations-Answer when applicable........A � 4 e2 A-c• t n P t 1- L �- "1 n v� t' .✓-.:.! ......... 0 �.... ^-�...---f ._.C•v�d ........................•--......... --------•- 1 Y t Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. d _ Signed.......... {d '' .. - - at e _.... Application Approved BY` V - -- --•-- am �. . Date Application Disapproved for.the following reasons:........I_______________________________:•.................................... t •• ._........--•-•---•-----------.................................................•..... -- ...---------- Date Permit No.....$= - --23,6e.•----•............... Issued-........................................... Date ----------------------------------------------------;----------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .�......':?. `.`'':............O F......: c:i✓v�_ ��ra� �.................................... Tntifirtt#r of Tomplinurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired bY................................... f= - ..... _ "' - • ..:......-•---------•......................................................_ . ......................../1 r Installer at....................1. . -...............4 Vt f �_ 5--•••---- _ _s;sv,-im--, ._...-_____.._. A/ ...F.� I .-.:,......._..s r _.._........._........__.._.... has been installed in accordance with the provisions of TITLE j of 'lihe State Sanitary Code as described in the application for Disposal Works Construction Permit No....L!__,7_=-__ ____.�.7_. ...... dated..................I.............._............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL /FUNCTION SATISFACTORY. DATE.............. /-_� //��.. .............................. Inspector----._..\�...--•-- --------------......_......---............. --------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD- OF HEALTH - S 1. .�.........OF........ ......1A-_!r%'........ ...V?.._��4c±r ..................... .> FEE.. ............. '-- Disposal Yorks Zono#rudion rrrmi# r- Permission is hereby granted v . (...............--F x .= -_------_--.---_--=-r-__-- ....--.-----•-----••••-•- to Construct ( ) or Repair '(--),an Individual Sewage Disposal System , atNo.....................l_ L 4 00. i -n-!r.i -- <= 4 .................................................� S Street as shown on the application for Disposal Works Construction Permit N ! �7__73-r Dat71 ed.......................................... ......----•--------- dH -------------- ------•-••--------•- Boa DATE..... lth .